Individual
MFANELO PHINDILE MAHLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 BROADMOOR BLVD NE, RIO RANCHO, NM 87144-2100
(505) 994-7000
Mailing address
4304 16TH AVE W APT 107, WILLISTON, ND 58801-1943
(850) 319-9226
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
57757
NM
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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